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Individual
TANA SIMS SANDEL
Active
Individual
TANA SIMS SANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 04032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y1431
BCBS BILLING NUMBER
TX
Enumeration date
08/19/2005
Last updated
05/13/2014
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